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    FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

    COMMI TTEE NAME ( Mu s t b e same as o n St a t eme n t o f O r g a n i z a t i o n )I RONWORKERSLOCAL 8 9 POLI TACAL EDUCATI ONFUNDI MPORTANT : I n d i c a t e t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S 1 a l e w i d e / L e p i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a l e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 8 ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o r n mi l l e s( 8 ) S u p p o r t S l a t e o f C a n d i d a t e sCANDI DATE COMMI TTEES ONLY :Ca n d i d a t e Name P o l i t i c a l P a r t y

    O f f i c e So u g h t OEC " ( 3 2 0 0 4 D i s t r i c t ( i f Se n a t e o r Hous e )

    0 _ ~ ' " - 2 - , . - a - " ~Q , 319 . 365. NOEASURER ( o r p e r s o n f i l i n g t h i s r e p o r t )

    I n d i c a t e o n eCHECK I F AMENDMENT TOREPORT DATED

    SUBTRACT TOTAL MONEY SPENT T HI S PERI OD

    TELEPHONE

    El Ch e c k i f t h i s I s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y ou must c o n t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

    STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s I s t h e t o t a l o f a l l mo n l e s h e l d

    b y t h e c o mmi t t e e . T h i s amou n t MUST b e t h e same a s t h e c a s h o n h an d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d , o r mu st b e z e r o I f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADDTOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A ) ( a l s o s ee i n - k i n d b e l o w ) . . . . . . . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    f Sc h ed u l e H a p p l i e s t o Ca n di d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . $

    Sc h e d u l e B : Ex p e nd i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) ( " " a l s o s e e d e bt s an d l o a n s b e l o w ) . . . .Sc h e d u l e F : L o a n Re p a yme n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b a l a n c e mustb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    L a t e f i l e d r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s .SEE I NSTRUCTI ONS ON BACK AND COMPL ETE THE FOLLOWI NG SENTENCE :I AM F I L I NG A 1 9 2, 17D! - REPORT FOR AN/ A ( 1 ) ELECT I ON / ( 2 ) NON- ELECT I ON YEAR .( r e p o r t d a t e )

    L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o n

    C o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y I nwh i c h E l e c t i o n i s h e l d ,

    - - - - - - - - - - - - - - - -

    . 9 7 -6 91_ _ .

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